Preferred Payout Method

100% of referral's first month's fee - account credit only, no cash value

$25 per signup - cash value - paid by check once minimum is reached

Please Note: You can only switch the payout method for future signups, not current ones. No exceptions!

Minimum Payout (cash value only)

Payment will only be made out once this minimum is reached.

First Name:

Last Name:

Company:

Checks Payable To:

E-mail Address:

Address Line 1:

Address Line 2:

City:

Zip Code:

Country:

State/Province:

Please fill out all fields completely to assure proper payment.

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